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S 042 NPWT VivanoTec: аспиратор медицинский вакуумный
Аппарат для вакуумной терапии ран VivanoTec разработан для эффективного и простого лечения острых и хронических ран с помощью отрицательного давления.
Аспиратор VivanoTec с щадящим постепенным набором вакуума, режимом прерывистого вакуума, вырабатывает контролируемое отрицательное давление постоянной величины, прилагаемое к раневой поверхности.
В сочетании с перевязочными материалами VivanoMed он позволяет в автоматическом режиме осуществлять высокоэффективное продолжительное лечебное воздействие, как на острые, так и хронические раны различной этиологии.
Преимущества аспиратора VivanoTec:
Оригинальный дизайн и продуманные до мелочей детали делают применение прибора приятным.
Благодаря лёгкому, компактному корпусу и большой мощности VivanoTec оптимально подходит для мобильного использования и применения в стационаре.
Простота использования благодаря интуитивно понятному меню позволяет быстро и профессионально использовать прибор. Лёгкая замена ёмкости для секрета.
Надёжность благодаря инновационной технологии High-Quality-Technology, которая гарантирует длительную и безопасную работу прибора.
Компактен и независим от электросети. Длительная работа от аккумуляторов.
Преимущества лечения ран с помощью системы Vivano:
эффективное удаление избыточного раневого экссудата;
значительное увеличение локальной перфузии тканей;
уменьшение интерстициального отека тканей в области раны;
значительное снижение уровня микробной обсемененности раны;
ускорение клеточной пролиферации (образование новой ткани);
увеличение объема и скорости образования грануляционной ткани;
стимуляция раневой контракции;
улучшение качественных и количественных результатов свободной кожной пластики.
Показания к применению:
Хронические раны:
Трофические язвы
Синдром диабетической стопы
Пролежни
Острые раны:
Травматические раны
Послеоперационные осложнения
Противопоказания:
Высокий риск раннего послеоперационного кровотечения
Некротические или малигнизированные раны
Свищи неясной этиологии
Несанированные очаги остеомиелита.
.
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- Operating instructions manual
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Operating Instructions
ATMOS
English
These operating instructions are valid from software version 1.3.
GA1GB.810101.0
2017-03 Index: 24
S 042 NPWT
®
Related Manuals for Atmos S 042 NPWT
Summary of Contents for Atmos S 042 NPWT
-
Page 1: Operating Instructions
Operating Instructions ATMOS S 042 NPWT ® English These operating instructions are valid from software version 1.3. GA1GB.810101.0 2017-03 Index: 24…
-
Page 2
Further information, accessories, consumables and spare parts are available from: ATMOS MedizinTechnik GmbH & Co. KG Ludwig-Kegel-Straße 16 79853 Lenzkirch Germany Phone +49 7653 689-0 Fax: + 49 7653 689-190 + 49 7653 689-292 (Service Centre) atmos@atmosmed.de www.atmosmed.com… -
Page 3: Table Of Contents
4.1.5 Key lock …………. 19 between portable and mobile RF Communications equipment and the 4.1.6 Selecting the language ……20 ATMOS S 042 NPWT ……38 ® 4.1.7 Basic settings ……….. 20 4.1.8 Brightness ……….21 12.0 For your notes ……..39 4.1.9 Day/Night Mode ……..
-
Page 4: Introduction
Repair work and period tests may be carried out only by expert personnel authorised by ATMOS. By applying only original spare parts you will have the guarantee that operational safety, readiness for work and the value of your ATMOS S 042 NPWT will be preserved.
-
Page 5: Function
Contraindications: Contraindications exist by patients with malignant tumour wounds (non enteric fistulas) which have not yet been examined, osteomyelitis or necrotic tissue. The ATMOS ® S 042 NPWT must not be applied to exposed nerves, anastomotic areas, blood vessels or organs. The negative pressure device must not be used: — for non-medical applications.
-
Page 6: Explanation Of Pictures And Symbols
Attention! Scope of delivery • Prior to dispatch, the ATMOS S 042 NPWT was subjected to an extensive functional test and ® was carefully packed. Nevertheless, please compare the contents of the shipment on com- pleteness immediately upon receipt (see delivery note).
-
Page 7: For Your Safety
Then disconnect the connection line from the device. Never touch plug or line with wet hands. • Do not modify the device without permission of the manufacturer. • The patient should not take a shower or have a bath when using the ATMOS S 042 NPWT.
-
Page 8
• Prior to start up the device, the user must verify correct functioning of the optical and acoustic display. • Avoid the risk of the device falling to the floor. After a fall always contact the ATMOS Service or an authorized service partner. • Change of dressing: Please observe the operating instructions for use of the applied wound dressing sets. -
Page 9: Special Precautionary Measures
• The removal of the canister from the device during the therapy may only be performed by trained professionals. Danger of explosion! S 042 NPWT is not designed for use in explosion-hazardous areas and in oxygen • The ATMOS ®…
-
Page 10
• The ATMOS S 042 NPWT was not evaluated for application in ® paediatrics. Before prescribing application with a child, please verify weight and height of the patient. • The ATMOS S 042 NPWT is not compatible with MRT (magnetic ®… -
Page 11: Setting Up And Starting Up
Setting up and starting up Device overview Front side Touch screen On/off button Charging plug connector Secretion canister (not included in the scope of delivery) Secretion canister release button Rear side Secretion canister connections Carrying strap hinge …
-
Page 12: Buttons And Symbols
Buttons and symbols The ATMOS S 042 NPWT is equipped with a touch screen. The whole operation is performed by ® touching the buttons displayed on the screen. Operation: The buttons on the screen always indicate what will happen after pressing the re- spective button.
-
Page 13: Prepare And Assemble Vacuum Unit
S 042 NPWT the battery must be fully charged. Only ® the battery recharging unit supplied by ATMOS should be used. The vacuum unit should be recharged in a cool place without direct solar irradiation. At ambient temperatures above 25°C the charging time could be prolonged drastically.
-
Page 14: Connection And Removal Of Shoulder Strap
3.3.2 Connection and removal of shoulder strap Snap link for attachment to the negative pressure unit Snap link for attachment to the negative pressure unit Snap link for attachment to the negative pressure unit Strap closure for attachment to the bed …
-
Page 15: Attachment And Removal Of Secretion Canister
3.3.4 Connecting/removing the vacuum unit with the wound dressing set The ATMOS negative pressuresystem has a double lumen suction hose system to prevent blocking of the suction hose. Ensure that the connections are always correctly connected in order to avoid faults.
-
Page 16: Attachment Of The Universal Bracket (Accessories)
Removal • Press the release button of the hose connector laterally and keep it pressed. • Now pull the two ends apart. • Prior to disposal break off the sealing plugs on the connector and plug it into the secretion hose on the device. This will ensure that the secretion cannot leak from the canister.
-
Page 17: Attaching/Removing The Vacuum Unit At/From The Universal Bracket
Attaching the holder clamp • Turn the turning knob of the holder clamp counter-clock- wise until the clamp can be attached to the desired fixture. • Turn the turning knob clockwise to fix the holder clamp. Ensure that the stand holder is firmly attached to the desired fixture. 3.3.6 Attaching/removing the vacuum unit at/from the universal bracket Firmly hold the vacuum unit during the whole process. • Place the vacuum unit onto the stand holder. Ensure that the thread at the bottom of the vacuum unit is directly above the fixing screw of the stand holder.
-
Page 18: Operation
4.1.2 Setting the negative pressure On initial delivery, the ATMOS S 042 NPWT is preset to a ® negative pressure of 125 mmHg. By touching the key, you can increase the negative pressure in steps of 5 mmHg. To reduce the negative pressure, touch the key.
-
Page 19: Switching The Intermittent Mode On And Off
4.1.5 Key lock The ATMOS S 042 NPWT is equipped with an automatic key lock. ® 1. Automatic activation of the key lock If no adjustments are made to the settings on the screen over a period of one minute then the key lock is automatically activated.
-
Page 20: Selecting The Language
Now you must touch the screen once again so that the symbol appears. 4.1.6 Selecting the language Various languages can be set on the ATMOS S 042 NPWT. Proceed as follows: ® • Press the key to reach the submenu.
-
Page 21: Brightness
4.1.8 Brightness Your negative pressure unit automatically adjusts the brightness of the screen to match the pre- vailing brightness of the room. If the preset brightness does not meet your requirements, you can adjust the brightness as follows. • Touch the key to reach the submenu.
-
Page 22: Warning Messages
Warning messages In the case of a warning the health care professionals must be informed immediately. If the key is pressed the acoustic and visual warning can be suppressed for 5 minutes. After 5 minutes the warning is repeated. Please note that the device cannot recognize all critical situations. Therefore in the following cases there is no warning: •…
-
Page 23: Secretion Canister Full
4.2.3 Secretion canister full The following causes can trigger the error message: • Secretion canister full: Exchange the secretion canister. • Blockage of the bacterial filter in the secretion canister: If the bacterial filter has become moist with secretion, it becomes blocked. Exchange the secretion canister. By touching the key this warning message can be sup- pressed for 5 minutes. In order to prevent blockage of the bacterial filter make sure that the negative pressure unit is set up in stable position.
-
Page 24: Battery Service Life Exceeded
4.2.7 Battery service life exceeded If the average lifetime of the battery is reached, this message will be displayed with every new start of the vacuum unit. This warning message can be closed by touching the and only appears again when the negative pressure unit is restarted.
-
Page 25: Cleaning And Care
Cleaning and care General advice Handling of the negative pressure unit determines to a large extent its reliability and safety. The hygiene measures are necessary measures for the protection of patients and users, and to maintain functional reliability of the vacuum unit. Clean and disinfect the surface of the negative pressure unit acc.
-
Page 26: Recommended Disinfectants
Recommended disinfectants Disinfectant Ingredients (in 100 g) Manufacturer Green & Clean SK Di alkyl dimethyl ammonium chloride < 1 g Metasys, Rum Alkyl dimethyl ethyl benzyl ammonium chloride < 1 g (Austria) Alkyl dimethyl benzyl ammonium chloride < 1 g Dismozon magnesium monoperoxyphthalate hexahydrate 80 g…
-
Page 27: Maintenance And Service
To carry out these meas- ures the person must have the necessary test devices and original spare parts. ATMOS rec- ommends: Work should be carried out by an authorized ATMOS service partner. This ensures that repairs and testing are carried out professionally, original spare parts are used and war- ranty claims remain unaffected.
-
Page 28: Exchange Of Batteries
Using other charging accessories may result in risk of explosions! Exchange of batteries The batteries may only be exchanged by ATMOS or an authorized service partner. Sending in the device 1. Remove and properly dispose of consumables.
-
Page 29: Troubleshooting
Power cable defective or not Check the power cable. charge and charging connected properly. symbol does not light Power supply or internal Contact the ATMOS service or a certi- up despite proper battery is fied service partner. connection to the power cable.
-
Page 30
Description Possible causes Remedy Device is overheated Contact the ATMOS service or a certi- fied service partner. „WATCH Dog Jump- Watch Dog Jumper not set Contact the ATMOS service or a certi- er“… fied service partner. Device is not working. Damage as a result of being Contact the ATMOS service or a certi- dropped. -
Page 31: Accessories, Consumables And Spare Parts
Port small 314.1590.0 ® VivanoTec Port 314.1600.0 ® VivanoTec Y-Connector 314.1610.0 ® ATMOS Green & Clean SK 534.3110.0 ATMOS Green & Clean MK 534.3120.0 Spare parts 2 pin power cord 008.0920.0 Charger 011.1334.0 Strap hook right 999.2272.0 Strap hook left 999.2273.0…
-
Page 32: Technical Data
Technical data Voltage 100 — 240 V~, 50/60 Hz IEC socket IEC320 / type C 8 Current consumption max. 1.5 A Power consumption max. 50 W Charger Manufacturer: GlobTek, Inc. Model: GTM91099-6015-3.0-T2 DC voltage 12 V DC +/- 2 %, max. 5 A via cable,1.2 m length with plug 5.5 x 2.5 x 11 mm, alternatively via car cable from the cigarette lighter Battery, built-in…
-
Page 33
Ambient conditions operation +5…+40°C 15…93 % air humidity without condensation at an air pressure of 700…1060 hPa Dimensions HxWxD 164 x 206 x 95 mm, without secretion canister Depth with 300 ml canister: max. 115 mm Depth with 800 ml canister: max. 153 mm Weight: 1.20 kg — Negative pressure unit (without… -
Page 34: 10.0 Disposal
• A possible contamination of the negative pressure unit caused by wrong operation respectively non-observance of the operating instructions cannot be excluded. • The ATMOS S 042 NPWT does not contain any hazardous materials. ® • Device and accessories must be decontaminated prior to disposal as secretion re- siduals may lead to danger.
-
Page 35: 11.0 Notes On Emc
11.1 Guidance and manufacturer’s declaration — electromagnetic emissions The ATMOS S 042 NPWT is intended for use in the electromagnetic environment specified ® below. The customer or user of the ATMOS S 042 NPWT should ensure that it is used in such an ® environment. Emissions Test Compliance Electromagnetic Environment — Guidance RF Emissions acc.to CISPR 11…
-
Page 36
NOTE UT is the alternating maims voltage prior to application of the test levels. The ATMOS S 042 NPWT is intended for use in the electromagnetic environment specified ® below. The customer or user of the ATMOS S 042 NPWT should ensure that it is used in such an ® environment. -
Page 37
S 042 NPWT is used exceeds the above compliance ® level, the ATMOS S 042 NPWT is to be observed to verify the intended use. If abnormal per- ® formance characteristics are noted, additional measures might be necessary, e. g. a changed arrangement or another location for the device. -
Page 38: Recommended Safety Distance Between Portable And Mobile Rf Communications Equipment And The Atmoss 042 Npwt
Communications equipment and the ATMOS S 042 NPWT ® The ATMOS S 042 NPWT is intended for use in electromagnetic environment in which radiated ® disturbances are controlled. The customer or user of the ATMOS S 042 NPWT can help prevent ®…
-
Page 39: 12.0 For Your Notes
12.0 For your notes…
-
Page 40
ATMOS MedizinTechnik GmbH & Co. KG Ludwig-Kegel-Str. 16 79853 Lenzkirch / Germany Phone: +49 7653 689-0 atmos@atmosmed.de www.atmosmed.com…
-
Page 1: Operating Instructions
Operating Instructions ATMOS S 042 NPWT ® English These operating instructions are valid from software version 1.3. GA1GB.810101.0 2017-03 Index: 24…
- Page 2
Further information, accessories, consumables and spare parts are available from: ATMOS MedizinTechnik GmbH & Co. KG Ludwig-Kegel-Straße 16 79853 Lenzkirch Germany Phone +49 7653 689-0 Fax: + 49 7653 689-190 + 49 7653 689-292 (Service Centre) atmos@atmosmed.de www.atmosmed.com… -
Page 3: Table Of Contents
4.1.5 Key lock …………. 19 between portable and mobile RF Communications equipment and the 4.1.6 Selecting the language ……20 ATMOS S 042 NPWT ……38 ® 4.1.7 Basic settings ……….. 20 4.1.8 Brightness ……….21 12.0 For your notes ……..39 4.1.9 Day/Night Mode ……..
-
Page 4: Introduction
Repair work and period tests may be carried out only by expert personnel authorised by ATMOS. By applying only original spare parts you will have the guarantee that operational safety, readiness for work and the value of your ATMOS S 042 NPWT will be preserved.
-
Page 5: Function
Contraindications: Contraindications exist by patients with malignant tumour wounds (non enteric fistulas) which have not yet been examined, osteomyelitis or necrotic tissue. The ATMOS ® S 042 NPWT must not be applied to exposed nerves, anastomotic areas, blood vessels or organs. The negative pressure device must not be used: — for non-medical applications.
-
Page 6: Explanation Of Pictures And Symbols
Attention! Scope of delivery • Prior to dispatch, the ATMOS S 042 NPWT was subjected to an extensive functional test and ® was carefully packed. Nevertheless, please compare the contents of the shipment on com- pleteness immediately upon receipt (see delivery note).
-
Page 7: For Your Safety
Then disconnect the connection line from the device. Never touch plug or line with wet hands. • Do not modify the device without permission of the manufacturer. • The patient should not take a shower or have a bath when using the ATMOS S 042 NPWT.
- Page 8
• Prior to start up the device, the user must verify correct functioning of the optical and acoustic display. • Avoid the risk of the device falling to the floor. After a fall always contact the ATMOS Service or an authorized service partner. • Change of dressing: Please observe the operating instructions for use of the applied wound dressing sets. -
Page 9: Special Precautionary Measures
• The removal of the canister from the device during the therapy may only be performed by trained professionals. Danger of explosion! S 042 NPWT is not designed for use in explosion-hazardous areas and in oxygen • The ATMOS ®…
- Page 10
• The ATMOS S 042 NPWT was not evaluated for application in ® paediatrics. Before prescribing application with a child, please verify weight and height of the patient. • The ATMOS S 042 NPWT is not compatible with MRT (magnetic ®… -
Page 11: Setting Up And Starting Up
Setting up and starting up Device overview Front side Touch screen On/off button Charging plug connector Secretion canister (not included in the scope of delivery) Secretion canister release button Rear side Secretion canister connections Carrying strap hinge …
-
Page 12: Buttons And Symbols
Buttons and symbols The ATMOS S 042 NPWT is equipped with a touch screen. The whole operation is performed by ® touching the buttons displayed on the screen. Operation: The buttons on the screen always indicate what will happen after pressing the re- spective button.
-
Page 13: Prepare And Assemble Vacuum Unit
S 042 NPWT the battery must be fully charged. Only ® the battery recharging unit supplied by ATMOS should be used. The vacuum unit should be recharged in a cool place without direct solar irradiation. At ambient temperatures above 25°C the charging time could be prolonged drastically.
-
Page 14: Connection And Removal Of Shoulder Strap
3.3.2 Connection and removal of shoulder strap Snap link for attachment to the negative pressure unit Snap link for attachment to the negative pressure unit Snap link for attachment to the negative pressure unit Strap closure for attachment to the bed …
-
Page 15: Attachment And Removal Of Secretion Canister
3.3.4 Connecting/removing the vacuum unit with the wound dressing set The ATMOS negative pressuresystem has a double lumen suction hose system to prevent blocking of the suction hose. Ensure that the connections are always correctly connected in order to avoid faults.
-
Page 16: Attachment Of The Universal Bracket (Accessories)
Removal • Press the release button of the hose connector laterally and keep it pressed. • Now pull the two ends apart. • Prior to disposal break off the sealing plugs on the connector and plug it into the secretion hose on the device. This will ensure that the secretion cannot leak from the canister.
-
Page 17: Attaching/Removing The Vacuum Unit At/From The Universal Bracket
Attaching the holder clamp • Turn the turning knob of the holder clamp counter-clock- wise until the clamp can be attached to the desired fixture. • Turn the turning knob clockwise to fix the holder clamp. Ensure that the stand holder is firmly attached to the desired fixture. 3.3.6 Attaching/removing the vacuum unit at/from the universal bracket Firmly hold the vacuum unit during the whole process. • Place the vacuum unit onto the stand holder. Ensure that the thread at the bottom of the vacuum unit is directly above the fixing screw of the stand holder.
-
Page 18: Operation
4.1.2 Setting the negative pressure On initial delivery, the ATMOS S 042 NPWT is preset to a ® negative pressure of 125 mmHg. By touching the key, you can increase the negative pressure in steps of 5 mmHg. To reduce the negative pressure, touch the key.
-
Page 19: Switching The Intermittent Mode On And Off
4.1.5 Key lock The ATMOS S 042 NPWT is equipped with an automatic key lock. ® 1. Automatic activation of the key lock If no adjustments are made to the settings on the screen over a period of one minute then the key lock is automatically activated.
-
Page 20: Selecting The Language
Now you must touch the screen once again so that the symbol appears. 4.1.6 Selecting the language Various languages can be set on the ATMOS S 042 NPWT. Proceed as follows: ® • Press the key to reach the submenu.
-
Page 21: Brightness
4.1.8 Brightness Your negative pressure unit automatically adjusts the brightness of the screen to match the pre- vailing brightness of the room. If the preset brightness does not meet your requirements, you can adjust the brightness as follows. • Touch the key to reach the submenu.
-
Page 22: Warning Messages
Warning messages In the case of a warning the health care professionals must be informed immediately. If the key is pressed the acoustic and visual warning can be suppressed for 5 minutes. After 5 minutes the warning is repeated. Please note that the device cannot recognize all critical situations. Therefore in the following cases there is no warning: •…
-
Page 23: Secretion Canister Full
4.2.3 Secretion canister full The following causes can trigger the error message: • Secretion canister full: Exchange the secretion canister. • Blockage of the bacterial filter in the secretion canister: If the bacterial filter has become moist with secretion, it becomes blocked. Exchange the secretion canister. By touching the key this warning message can be sup- pressed for 5 minutes. In order to prevent blockage of the bacterial filter make sure that the negative pressure unit is set up in stable position.
-
Page 24: Battery Service Life Exceeded
4.2.7 Battery service life exceeded If the average lifetime of the battery is reached, this message will be displayed with every new start of the vacuum unit. This warning message can be closed by touching the and only appears again when the negative pressure unit is restarted.
-
Page 25: Cleaning And Care
Cleaning and care General advice Handling of the negative pressure unit determines to a large extent its reliability and safety. The hygiene measures are necessary measures for the protection of patients and users, and to maintain functional reliability of the vacuum unit. Clean and disinfect the surface of the negative pressure unit acc.
-
Page 26: Recommended Disinfectants
Recommended disinfectants Disinfectant Ingredients (in 100 g) Manufacturer Green & Clean SK Di alkyl dimethyl ammonium chloride < 1 g Metasys, Rum Alkyl dimethyl ethyl benzyl ammonium chloride < 1 g (Austria) Alkyl dimethyl benzyl ammonium chloride < 1 g Dismozon magnesium monoperoxyphthalate hexahydrate 80 g…
-
Page 27: Maintenance And Service
To carry out these meas- ures the person must have the necessary test devices and original spare parts. ATMOS rec- ommends: Work should be carried out by an authorized ATMOS service partner. This ensures that repairs and testing are carried out professionally, original spare parts are used and war- ranty claims remain unaffected.
-
Page 28: Exchange Of Batteries
Using other charging accessories may result in risk of explosions! Exchange of batteries The batteries may only be exchanged by ATMOS or an authorized service partner. Sending in the device 1. Remove and properly dispose of consumables.
-
Page 29: Troubleshooting
Power cable defective or not Check the power cable. charge and charging connected properly. symbol does not light Power supply or internal Contact the ATMOS service or a certi- up despite proper battery is fied service partner. connection to the power cable.
- Page 30
Description Possible causes Remedy Device is overheated Contact the ATMOS service or a certi- fied service partner. „WATCH Dog Jump- Watch Dog Jumper not set Contact the ATMOS service or a certi- er“… fied service partner. Device is not working. Damage as a result of being Contact the ATMOS service or a certi- dropped. -
Page 31: Accessories, Consumables And Spare Parts
Port small 314.1590.0 ® VivanoTec Port 314.1600.0 ® VivanoTec Y-Connector 314.1610.0 ® ATMOS Green & Clean SK 534.3110.0 ATMOS Green & Clean MK 534.3120.0 Spare parts 2 pin power cord 008.0920.0 Charger 011.1334.0 Strap hook right 999.2272.0 Strap hook left 999.2273.0…
-
Page 32: Technical Data
Technical data Voltage 100 — 240 V~, 50/60 Hz IEC socket IEC320 / type C 8 Current consumption max. 1.5 A Power consumption max. 50 W Charger Manufacturer: GlobTek, Inc. Model: GTM91099-6015-3.0-T2 DC voltage 12 V DC +/- 2 %, max. 5 A via cable,1.2 m length with plug 5.5 x 2.5 x 11 mm, alternatively via car cable from the cigarette lighter Battery, built-in…
- Page 33
Ambient conditions operation +5…+40°C 15…93 % air humidity without condensation at an air pressure of 700…1060 hPa Dimensions HxWxD 164 x 206 x 95 mm, without secretion canister Depth with 300 ml canister: max. 115 mm Depth with 800 ml canister: max. 153 mm Weight: 1.20 kg — Negative pressure unit (without… -
Page 34: 10.0 Disposal
• A possible contamination of the negative pressure unit caused by wrong operation respectively non-observance of the operating instructions cannot be excluded. • The ATMOS S 042 NPWT does not contain any hazardous materials. ® • Device and accessories must be decontaminated prior to disposal as secretion re- siduals may lead to danger.
-
Page 35: 11.0 Notes On Emc
11.1 Guidance and manufacturer’s declaration — electromagnetic emissions The ATMOS S 042 NPWT is intended for use in the electromagnetic environment specified ® below. The customer or user of the ATMOS S 042 NPWT should ensure that it is used in such an ® environment. Emissions Test Compliance Electromagnetic Environment — Guidance RF Emissions acc.to CISPR 11…
- Page 36
NOTE UT is the alternating maims voltage prior to application of the test levels. The ATMOS S 042 NPWT is intended for use in the electromagnetic environment specified ® below. The customer or user of the ATMOS S 042 NPWT should ensure that it is used in such an ® environment. - Page 37
S 042 NPWT is used exceeds the above compliance ® level, the ATMOS S 042 NPWT is to be observed to verify the intended use. If abnormal per- ® formance characteristics are noted, additional measures might be necessary, e. g. a changed arrangement or another location for the device. -
Page 38: Recommended Safety Distance Between Portable And Mobile Rf Communications Equipment And The Atmoss 042 Npwt
Communications equipment and the ATMOS S 042 NPWT ® The ATMOS S 042 NPWT is intended for use in electromagnetic environment in which radiated ® disturbances are controlled. The customer or user of the ATMOS S 042 NPWT can help prevent ®…
-
Page 39: 12.0 For Your Notes
12.0 For your notes…
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ATMOS MedizinTechnik GmbH & Co. KG Ludwig-Kegel-Str. 16 79853 Lenzkirch / Germany Phone: +49 7653 689-0 atmos@atmosmed.de www.atmosmed.com…
Описание:
Аппарат вакуумной терапии VivanoTec® S 042 NPWT / ВиваноТек.
Система вакуумной терапии VivanoTec® S 042 NPWT / ВиваноТек — инновационный подход в лечении ран местным отрицательным давлением.
Аппарат для вакуумной терапии ран VivanoTec вырабатывает контролируемое отрицательное давление постоянной величины, применяемое на раневую поверхность. Лечение отрицательным давлением – это современная методика лечения ран, которая приводит к ускорению заживления ран и позволяет успешно лечить раны, оптимизируя течение раневого процесса. Вакуумная терапия ран имеет широкий диапазон показаний к применению — это острые и хронические раны, пролежни, диабетические / нейропатические язвы, венозные и артериальные язвы, язвы при васкулитах, расхождение послеоперационных швов, открытые раны брюшной полости и грудной клетки, ожоги, фиксация кожных трансплантатов при аутодермопластике.
Преимущества системы Vivano:
Одно устройство для всех показаний
Компактный аппарат как для лежачих, так и сохраняющих активность пациентов
Поддержание заданного уровня давления в области раны
Простое меню на русском языке
Основным действующим звеном системы является аппарат для вакуумной терапии ран VivanoTec S 042 NPWT. В сочетании с перевязочными материалами VivanoMed и контейнером для сбора экссудата VivanoTec он позволяет в автоматическом режиме осуществлять высокоэффективное продолжительное лечебное воздействие на раны различной этиологии.
Перевязочные материалы для вакуумной терапии состоят из следующих компонентов:
Скалозуб О.И.
Центральная клиническая больница с поликлиникой Управления делами Президента РФ;
кафедра хирургии факультета фундаментальной медицины Московского государственного университета им. М.В. Ломоносова, Москва
Лапин Р.В.
Центральная клиническая больница с поликлиникой Управления делами Президента РФ, Москва
Лечение гнойных ран отрицательным давлением
Авторы:
Рябов А.Л., Скалозуб О.И., Лапин Р.В.
Как цитировать:
Рябов А.Л., Скалозуб О.И., Лапин Р.В. Лечение гнойных ран отрицательным давлением. Хирургия. Журнал им. Н.И. Пирогова.
2014;(6):.
Riabov AL, Skalozub OI, Lapin RV. . Pirogov Russian Journal of Surgery = Khirurgiya. Zurnal im. N.I. Pirogova. 2014;(6):. (In Russ.)
Введение
В программе комплексного лечения в настоящее время широко используются методы физического высокотехнологического воздействия на ткани ран. В лечебной практике применяется следующее современное оборудование: ультразвуковая низкочастотная кавитация — аппарат SONOCA, плазменный поток — аппарат ПЛАЗОН, пульсирующая струя — аппарат Гидроджет, отрицательное давление — аппарат VivanoTec/S042 [1-3]. Данные методы позволяют быстро удалять нежизнеспособные ткани, малотравматичны, радикально уменьшают микробную обсемененность тканей.
Материал и методы
С ноября 2012 г. в отделении гнойной хирургии Центральной клинической больницы с поликлиникой УДП РФ для лечения ран, осложненных хирургической инфекцией, используют аппарат отрицательного давления VivanoTec/S042.
Этот метод физического высокотехнологического воздействия на ткани ран использован в лечении 74 больных. Преобладали женщины (73%) в возрасте от 18 до 89 лет, из них 87% имели тяжелые сопутствующие заболевания (ишемическую болезнь сердца, гипертоническую болезнь, хронические обструктивные заболевания легких, онкологические заболевания, сахарный диабет).
По характеру основного заболевания больные распределились следующим образом:
1) синдром диабетической стопы — 18 больных;
2) обширные пролежни туловища и конечностей — 16 больных;
3) нагноившиеся лапаротомные и торакальные раны — 14 больных (рис. 1);
4) посттравматический остеомиелит трубчатых костей конечностей — 17 больных;
5) послеоперационный остеомиелит грудины, гнойный медиастенит — 6 больных (рис. 2);
6) инфицированные эндопротезы крупных суставов, с развитием послеоперационного остеомиелита — 7 больных (рис. 3).
Степень тяжести состояния больных и органных дисфункций определяли по шкалам SAPS и SOFA. С помощью скрининг-исследования при поступлении у всех больных было выявлено не менее 1-2 признаков синдрома системной воспалительной реакции (CCВР), а у 3% больных диагностирован тяжелый сепсис (3-4 признака синдрома системной воспалительной реакции, наличие обширного очага поражения, результат прокальцитонинового теста >10 нг/мл).
При микробиологическом исследовании ран отмечали наличие полимикробной аэробной и анаэробной микрофлоры (S. pyogenes, S. aureus, B. fragilis, Peptostreptococcus, Ps. aeruginosa и др.) с уровнем контаминации выше критического — 106-108 КОЕ/мл.
Программа комплексного лечения включала:
1) радикальную хирургическую обработку гнойного очага с расширенной некрэктомией в пределах здоровых тканей;
2)коррекцию метаболических расстройств, компенсацию углеводного обмена в случае выраженных нарушений у пациентов с тяжелым диабетом в отделении реанимации;
3) использование принципа стартовой деэскалационной антибиотикотерапии препаратами ультраширокого спектра действия, с последующим переходом на этиотропную терапию.
В местном лечении раневого процесса применялись современные перевязочные материалы на основе карбоксиметилцеллюлозы с серебром, гидроколлоидные повязки, иммобилизированные протеолитические ферменты.
В программе комплексного лечения широко использовали методы физического высокотехнологического воздействия на ткани ран. Они включали применение отрицательного давления (аппарат VivanoTec/S042). Данный метод малотравматичен, позволяет быстро удалить нежизнеспособные ткани, радикально уменьшить микробную обсемененность тканей (при контрольных микробиологических исследованиях ран отмечали снижение уровня контаминации до 102-104 КОЕ/мл на 2-3-и сутки от начала лечения).
Спектр хирургических вмешательств зависел от фазы воспалительного процесса и выраженности клинических проявлений. Всего было выполнено 153 оперативных вмешательства. Выполнялась хирургическая обработка инфицированных ран, некрэктомия. По мере купирования воспалительного процесса в ране проводилась повторная хирургическая обработка раны с пластикой местными тканями.
Реконструктивные операции выполнялись только после регресса острых признаков воспаления, стабилизации общего состояния больного, нормализации показателей гомеостаза. Как правило, операции производили на 5-7-е сутки после первичной хирургической обработки.
Результаты
Продолжительность стационарного лечения варьировала от 10 до 38 дней. Хорошие ближайшие анатомические результаты достигнуты у 97% пролеченных пациентов. У всех больных был достигнут хороший функциональный результат лечения, заживление ран наступало в оптимальные сроки, значительно сократились сроки лечения.
Таким образом, в комплексном лечении ран, осложненных хирургической инфекцией, целесообразно использовать различные виды активного хирургического, общесоматического, антибактериального лечения, что позволит значительно снизить сроки купирования хирургической инфекции и оптимизировать длительность заживления раны. Использование в лечении методов физического высокотехнологического воздействия на ткани ран привело к существенному уменьшению числа инфекционных осложнений и функциональных расстройств, а также значительно сократило сроки лечения, с хорошими отдаленными анатомическими и функциональными результатами.
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VivanoTec® Unit
Аппарат для лечения ран отрицательным давлением
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Product Information
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- Номер артикула
- 4095020
- Content
- 1 Штука
- EAN
- 4052199000268
- Content
- 1 Коробка из 1 Штука
- EAN
| Product Information | Article Number | Content | EAN | ||
|
1 Штука 1 Коробка из 1 Штука |
4052199000268 |
ECDOC_100005388.pdf
ECDoCS_VivanoTec Units
ECDOC_100005389.pdf
ECDoCS_VivanoTec Units_Brasil
IFU_100385297.pdf
VivanoTec Gebrauchsanw. Behaelter neu
ATMOS S 042 NPWT / VivanoTec® / ВиваноТек
ATMOS S 042 NPWT / VivanoTec® / ВиваноТек
Вивано система для лечения ран отрицательным давлением.
ATMOS S 042 NPWT / VivanoTec® / ВиваноТек
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[Page 1] Atmos S 042 NPWT GA1GB.810101.0 2017-03 Index: 24 These operating instructions are valid from software version 1.3. Operating Instructions ATMOS ® S 042 NPWT English |
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[Page 2] Atmos S 042 NPWT 2 Further information, accessories, consumables and spare parts are available from: ATMOS MedizinTechnik GmbH & Co. KG Ludwig-Kegel-Straße 16 79853 Lenzkirch Germany Phone +49 7653 689-0 Fax: + 49 7653 689-190 + 49 7653 689-292 (Service Ce… |
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[Page 3] Atmos S 042 NPWT Table of contents 1.0 Introduction …………………………………… 4 1.1 Notes on operating instructions………….. 4 1.2 Intended use (indication) ……………………. 4 1.3 Function ……………………………………….. |
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[Page 4] Atmos S 042 NPWT 4 1.0 Introduction 1.1 Notes on operating instructions These operating instructions are valid from software version 1.3. These operating instructions contain important notes on how to operate the ATMOS ® S042NPWTsafely,correctly… |
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[Page 5] Atmos S 042 NPWT 5 User prole: Doctors, medical auxiliaries without restrictions. Patient groups: Patients of all ages with and without restrictions. Application organ: Chronic and acute wounds on the skin which do not close by primary wound healing. Application … |
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[Page 6] Atmos S 042 NPWT 6 1.4 Explanation of pictures and symbols Short cuts / symbols contained in these operating instructions Please read, impor- tant information ■ General information Move, plug… in this direction 2 This product is not re-sterilizable. ● Numera… |
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[Page 7] Atmos S 042 NPWT 7 2.0 For your safety General information ! For your safety • The ATMOS ® S 042 NPWT was produced in accordance with IEC 60601-1/EN 60601-1 and with VDE safety class ll. It may only be connected to a properly installed earthed wall socket. �… |
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[Page 8] Atmos S 042 NPWT 8 • Wound exudate or blood can accumulate in the wound dressing. This can lead to maceration, infection or an undetected haemorrhage. Therefore regularly check the dressing. How fre- quently the wound dressing needs to be checked and changed depe… |
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[Page 9] Atmos S 042 NPWT 9 Risk of infection! ! For your safety • The device should always be used in vertical position. • Prior to use please check the packing of the sterile product, the secretion canister and the vacuum hose on any damage. Do not use damaged secre… |
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[Page 10] Atmos S 042 NPWT 10 • The ATMOS ® S 042 NPWT was not evaluated for application in paediatrics. Before prescribing application with a child, please verify weight and height of the patient. • The ATMOS ® S 042 NPWT is not compatible with MRT (magnetic reso… |
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[Page 11] Atmos S 042 NPWT 11 3.0 Setting up and starting up 3.1 Device overview Front side 1 2 3 5 4 Touch screen On/obutton Charging plug connector Secretion canister (not included in the scope of delivery) Secretion canister release button… |
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[Page 12] Atmos S 042 NPWT 12 3.2 Buttons and symbols The ATMOS ® S 042 NPWT is equipped with a touch screen. The whole operation is performed by touching the buttons displayed on the screen. Operation: The buttons on the screen always indicate what will happen after pres… |
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[Page 13] Atmos S 042 NPWT 13 Symbol Denition Battery charging status Key lock activated Key lock deactivated Leakage display. Shows leak tightness and/or leakage of the system using the colours green, yellow and red. (Only visible during therapy) Alert is suppressed. I… |
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[Page 14] Atmos S 042 NPWT 14 3.3.2 Connection and removal of shoulder strap 1 2 3 4 5 Snap link for attachment to the negative pressure unit Snap link for attachment to the negative pressure unit Snap link for attachment to the negative pressure unit Stra… |
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[Page 15] Atmos S 042 NPWT 15 3.3.3 Attachment and removal of secretion canister The secretion canisters of your vacuum unit are sterile units which can be used in sterile sur- gery environments. Please observe the respective operating instructions of the secretion canis- t… |
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[Page 16] Atmos S 042 NPWT 16 Removal • Press the release button of the hose connector laterally and keep it pressed. • Now pull the two ends apart. • Priortodisposalbreakothesealingplugsonthe connector and plug it into the secretion … |
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[Page 17] Atmos S 042 NPWT 17 Attaching the holder clamp • Turn the turning knob of the holder clamp counter-clock- wiseuntiltheclampcanbeattachedtothedesiredxture. • Turntheturningknobclockwisetoxtheholder�… |
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[Page 18] Atmos S 042 NPWT 18 4.0 Operation 4.1 Basic functions 4.1.1 Switching the vacuum unit on and o Switching on the vacuum unit • Touch the key for two seconds. • Whenusedforthersttimethelanguageselectionmenu appears. Selec… |
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[Page 19] Atmos S 042 NPWT 19 4.1.4 Switching the intermittent mode on and o With your negative pressure unit, you have the option of selecting between continuous and intermittent mode. In contrast to the continuous mode, which operates with a negative pressure that rema… |
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[Page 20] Atmos S 042 NPWT 20 3. Unlock the key lock Brieytouchthescreen.Thescreenisactivatedwhenthe sym- bol appears and blinks. Touch the symbol. The symbol appears and blinks. Touch the symbol. As soon as the symbol blinks the key l… |
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[Page 21] Atmos S 042 NPWT 21 4.1.8 Brightness Your negative pressure unit automatically adjusts the brightness of the screen to match the pre- vailing brightness of the room. If the preset brightness does not meet your requirements, you can adjust the brightness as follows…. |
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[Page 22] Atmos S 042 NPWT 22 4.2 Warning messages In the case of a warning the health care professionals must be informed immediately. If the key is pressed the acoustic and visual warning can be suppressed for 5 minutes. After 5 minutes the warning is repeated. Please… |
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[Page 23] Atmos S 042 NPWT 23 4.2.3 Secretion canister full The following causes can trigger the error message: • Secretion canister full: Exchange the secretion canister. • Blockageofthebacteriallterinthesecretioncanister:Ifthe bact… |
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[Page 24] Atmos S 042 NPWT 24 4.2.7 Battery service life exceeded If the average lifetime of the battery is reached, this message will be displayed with every new start of the vacuum unit. This warning message can be closed by touching the key and only appears again whe… |
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[Page 25] Atmos S 042 NPWT 25 5.0 Cleaning and care 5.1 General advice Handling of the negative pressure unit determines to a large extent its reliability and safety. The hygiene measures are necessary measures for the protection of patients and users, and to maintain fun… |
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[Page 26] Atmos S 042 NPWT 26 5.4 Recommended disinfectants Disinfectant Ingredients (in 100 g) Manufacturer Green & Clean SK Di alkyl dimethyl ammonium chloride Alkyl dimethyl ethyl benzyl ammonium chloride Alkyl dimethyl benzyl ammonium chloride < 1 g < 1 g < 1… |
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[Page 27] Atmos S 042 NPWT 27 6.0 Maintenance and service 6.1 General advice • Maintenance, repairs and period tests may only be carried out by persons who have the appropriate technical knowledge and are familiar with the product. To carry out these meas- ures the perso… |
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[Page 28] Atmos S 042 NPWT 28 • When operating the negative pressure unit at low environmental temperatures, the capacity of the batteries is not fully usable. • Always charge the batteries using the respective charging accessories. Overcharging will de- stroy the batte… |
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[Page 29] Atmos S 042 NPWT 29 7.0 Troubleshooting Description Possible causes Remedy Device cannot be switched on. Battery is completely empty. Connect the power cable to the device to recharge the battery, note that the progress can be checked in the upper left hand corn… |
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[Page 30] Atmos S 042 NPWT 30 Description Possible causes Remedy Device is overheated Contact the ATMOS service or a certi- edservicepartner. „WATCH Dog Jump- er“… Watch Dog Jumper not set Contact the ATMOS service or a certi- edservicepartner. Device i… |
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[Page 31] Atmos S 042 NPWT 31 8.0 Accessories, consumables and spare parts Accessories REF Shoulder strap 316.1100.0 Device bracket 316.0200.0 Consumables REF Secretion canister 300 ml 316.1300.0 Secretion canister 800 ml 316.1400.0 VivanoMed ® Foam Kit S 314.1500.0 Viv… |
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[Page 32] Atmos S 042 NPWT 32 9.0 Technical data Voltage 100 — 240 V~, 50/60 Hz IEC socket IEC320 / type C 8 Current consumption max. 1.5 A Power consumption max. 50 W Charger Manufacturer: GlobTek, Inc. Model: GTM91099-6015-3.0-T2 DC voltage 12 V DC +/- 2 %, max. 5 A via cab… |
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[Page 33] Atmos S 042 NPWT 33 Ambient conditions operation +5…+40°C 15…93 % air humidity without condensation at an air pressure of 700…1060 hPa Dimensions HxWxD 164 x 206 x 95 mm, without secretion canister Depth with 300 ml canister: max. 115 mm Depth with 800 ml cani… |
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[Page 34] Atmos S 042 NPWT 34 10.0 Disposal When the device is operated according to the operating instructions it has an expected service life of 5 years. A regular thorough cleaning and disinfection of the vacuum unit and the applica- tion parts, respectively the operation… |
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[Page 35] Atmos S 042 NPWT 35 11.0 Notes on EMC • Medical electrical equipment is subject to special precautions with regard to EMC and must be installed acc. to following EMC notes. • PortableandmobileHFcommunicationfacilitiescaninuencemedi… |
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[Page 36] Atmos S 042 NPWT 36 Immunity Test IEC 60601- Test Level Compliance Level Electromagnetic Environ- ment — Guidance Voltage Dips / Drop- out IEC 61000-4-11 < 5 % UT (> 95 % Dip of the UT) for 0.5 Cycle 40 % UT ( 60% Dip of the UT) For 5 cycles 70% UT ( 30 % … |
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[Page 37] Atmos S 042 NPWT 37 Immunity Test IEC 60601- Test Level Compliance Level Electromagnetic Environment — Guidance Conducted RF IEC 61000-4-6 V1=3Ve 150 kHz to 80 MHz 3 V Portable and mobile com- munications equipment should be separated from the ATMOS… |
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[Page 38] Atmos S 042 NPWT 38 11.3 Recommended safety distance between portable and mobile RF Communications equipment and the ATMOS ® S 042 NPWT The ATMOS ® S 042 NPWT is intended for use in electromagnetic environment in which radiated disturbances are controlled. The… |
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[Page 39] Atmos S 042 NPWT 39 12.0 For your notes |
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[Page 40] Atmos S 042 NPWT ATMOS MedizinTechnik GmbH & Co. KG Ludwig-Kegel-Str. 16 79853 Lenzkirch / Germany Phone: +49 7653 689-0 [email protected] www.atmosmed.com |
Описание:
Аппарат вакуумной терапии VivanoTec® S 042 NPWT / ВиваноТек.
Система вакуумной терапии VivanoTec® S 042 NPWT / ВиваноТек — инновационный подход в лечении ран местным отрицательным давлением.
Аппарат для вакуумной терапии ран VivanoTec вырабатывает контролируемое отрицательное давление постоянной величины, применяемое на раневую поверхность. Лечение отрицательным давлением – это современная методика лечения ран, которая приводит к ускорению заживления ран и позволяет успешно лечить раны, оптимизируя течение раневого процесса. Вакуумная терапия ран имеет широкий диапазон показаний к применению — это острые и хронические раны, пролежни, диабетические / нейропатические язвы, венозные и артериальные язвы, язвы при васкулитах, расхождение послеоперационных швов, открытые раны брюшной полости и грудной клетки, ожоги, фиксация кожных трансплантатов при аутодермопластике.
Преимущества системы Vivano:
Одно устройство для всех показаний
Компактный аппарат как для лежачих, так и сохраняющих активность пациентов
Поддержание заданного уровня давления в области раны
Простое меню на русском языке
Основным действующим звеном системы является аппарат для вакуумной терапии ран VivanoTec S 042 NPWT. В сочетании с перевязочными материалами VivanoMed и контейнером для сбора экссудата VivanoTec он позволяет в автоматическом режиме осуществлять высокоэффективное продолжительное лечебное воздействие на раны различной этиологии.
Перевязочные материалы для вакуумной терапии состоят из следующих компонентов:
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Dear Patron: Please don’t scroll past this. Right now we have a matching gift campaign that will double the impact of every donation. We understand that not everyone can give right now, but if you can afford to contribute this Tuesday, we promise it will be put to good use. If you find all these bits and bytes useful, please pitch in.